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Related Experiment Videos

[Meconium ileus. A clinical contribution].

L Fasoli1, S Campagnola

  • 1Dipartimento di Scienze Chirurgiche, Università degli Studi, Verona.

Minerva Chirurgica
|March 29, 2000
PubMed
Summary
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Meconium ileus (MI) is a neonatal intestinal obstruction. Gastrografin enema is effective for uncomplicated MI, while T-tube enterostomy is reserved for enema failure or complicated cases.

Area of Science:

  • Neonatal surgery
  • Pediatric gastroenterology
  • Intestinal obstruction

Background:

  • Meconium ileus (MI) is a neonatal intestinal obstruction caused by thickened meconium in the terminal ileum.
  • This retrospective study reviews 20 years of experience with MI cases.

Purpose of the Study:

  • To review institutional experience with neonates diagnosed with meconium ileus.
  • To evaluate treatment outcomes for uncomplicated and complicated MI.

Main Methods:

  • Retrospective review of 23 neonates with meconium ileus.
  • Analysis of treatment strategies including Gastrografin enema and various surgical interventions (laparotomy, resection, enterostomy, T-tube enterostomy).

Main Results:

  • Gastrografin enema achieved a 58% success rate in 12 cases.

Related Experiment Videos

  • Survival rates were 93% for uncomplicated MI and 67% for complicated MI.
  • Surgical interventions varied based on disease complexity.

    • Conclusions:

    • Gastrografin enema is the preferred initial treatment for uncomplicated MI.
    • T-tube enterostomy is recommended for enema failures.
    • Surgical management for complicated MI depends on intra-abdominal findings and associated complications.